Atlantic Memorial Healthcare Center

In the surveyor’s words

From the most serious findings on record at Atlantic Memorial Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF921May 20, 2021

  Based on interview and record review, the facility failed to ensure residents were not disturbed by irritable smells or noise during the renovation of the hallways. The facility also failed to ensure that the walking area was safe for the use of all residents during construction. This deficient practice resulted in two of two sampled resident exposure to adhesive odors and noise. At the time of investigation, the facility had a census of 73. Findings: On May3, 2021, at 6:00 p.m., a complaint investigation was made at the facility. An observational tour of the facility at 6:20 p.m., in the presence of the administrator, the surveyor observed the flooring in the hallway throughout the facility was being renovated. […]

• No harm, potential for more than minimal, patternF880Mar 13, 2026

  Based on observation, interview, and record review, the facility failed to implement their policy and procedures (P&P) to maintain and observe infection control practices by failing to:1. Ensure Resident 69 was on airborne isolation (a set of infection-control measures used in hospitals to prevent the spread of diseases caused by tiny germs that can float in the air and travel long distances) precautions for shingles (painful, blistering skin rash).2. Ensure Medication Cart 1 B was kept clean and in sanitary condition.These failures had the potential to result in cross contamination (physical movement or transfer of harmful bacteria from one person, object, or place to another) and placed all residents at risk for spread of infection.Findings: 1. […]

• No harm, potential for more than minimal, patternF758Jan 24, 2025

  Based on interview and record review, the facility failed to: 1. Define resident-specific, objectively measurable target behaviors related to the use of risperidone (a medication used to treat mental illness) in one of five residents sampled for unnecessary medications (Resident 16.) 2. Ensure divalproex (a medication used to treat mood swings) was used only for conditions or diagnoses as documented in the clinical record in one of five residents sampled for unnecessary medications (Resident 16.) 3. […]

• No harm, potential for more than minimal, patternF645Jan 26, 2024

  Based on interview and record review, the facility failed to follow through with the Preadmission Screening and Resident Review ([PASRR] guided by federal regulations that require all individuals being considered for admission to a Medicaid-certified nursing facility (NF) be screened prior to admission, to determine if the person has, or is suspected of having, a mental illness, intellectual disability, to ensure their needs will be met ) recommendation to obtain a PASRR level II (results of this evaluation result in a determination of need, determination of appropriate setting, and a set of recommendations for services to inform the individual's plan of care) evaluation for two (2) of 19 sampled residents (Residents 12 and 64) who was diagnosed with a mental illness prior to admission in… […]

• No harm, potential for more than minimal, patternF695Jan 26, 2024

  46036 Based on observation, interview, and record review, the facility failed to follow their policy and procedure for dating oxygen tubing and nasal cannula (([NC], a device that deliver extra oxygen through a tube and into the nose) by ensuring the oxygen tubing was maintained weekly for three (3) of 19 sampled residents (Residents 33, 12 and 235) who were receiving oxygen therapy. This deficient practice placed residents at risk of respiratory infections by directly transferring potentially pathogenic (disease causing) organisms through the tubing onto the mucous membranes (moist inner lining of body cavities such as the nose) inside the residents' nasal passages, causing complications associated with oxygen therapy. Findings: A. During an observation on 1/23/2024 at 8:44 a.m. […]